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KEVIN P. SHEA MD
NPI 1225035694
Orthopaedic Surgery in Farmington, CT

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-6600(860) 679-6649 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Apr 19, 2017 (2 updates tracked since 2017).

About Kevin P. Shea Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN P. SHEA MD (NPI 1225035694) is an individual orthopaedic surgery provider in Farmington, Connecticut, licensed in Connecticut (029051) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1982).

NPPES Registry Identity

NPI1225035694
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKEVIN P. SHEACredential: MD
Location AddressUCONN MEDICAL GROUP, 263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing AddressUconn Medical Group, 263 Farmington AveFarmington, CT 06030-0001 · (860) 679-6600 · Fax (860) 679-6649
Phone(860) 679-6600
Fax(860) 679-6649
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1982
Enumeration DateJune 30, 2005
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
✔ NPI 1225035694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CT · 029051
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 029051 (CT)
UCONN MEDICAL GROUP, Farmington, CT 06030
Open in Google Maps ↗

Other Identifiers 1

Medicaid1290519CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin P. Shea Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335234186
PECOS Enrollment IDI20071009000336
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services42 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
46 services34 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA M. MCCAULEY APRN
Nurse Practitioner (Acute Care)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ISAAC MOSS M.D.
Orthopaedic Surgery
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
ALEXANDRA SHAW PA-C
Physician Assistant (Surgical)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. DANIEL STEWART ROBERTS M.D
Otolaryngology
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2804
MONTGOMERY BERNARD DOUGLAS M.D.
Family Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477
COURTNEY DANIELLE HOLMES APRN
Nurse Practitioner (Adult Health)
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8400
DR. HYNES MICHAEL BIRMINGHAM SR. M.D.
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000
ALISE FRALLICCIARDI M.D.
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Shea's NPI number?

The NPI number for Kevin Shea is 1225035694. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Kevin Shea located?

Kevin Shea practices at Uconn Medical Group 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-6600.

What is Kevin Shea's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kevin Shea enrolled in Medicare?

Yes. Kevin Shea is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Shea was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.